Republican Congressman John Shimkus expressed opposition yesterday to the mandate in the Affordable Care Act that healthcare plans must cover prenatal care. He argued that men should not have to contribute to the healthcare of pregnant women and their unborn children. Instead, he expressed his support for Americans choosing health insurance plans where coverage is chosen a la carte.
There are a number of problems with this line of thinking. First, it’s detached from reality. That is not how the marketplace has worked or will work, as Congressman Michael Doyle helpfully pointed out. Second, it ignores the practical impact that this would have on the cost of health insurance plans that include prenatal care. It would certainly make it less affordable and thus inaccessible for pregnant women and their children. Combined with Paul Ryan’s seeming inability to understand how insurance works, it is clear that Republicans lack the minimal technical knowledge required to produce healthcare reform that is actually feasible in the real world, let alone a plan that is prudent and helpful.
The case for removing the prenatal care mandate is also deeply immoral. It reflects a market morality that places consumer choice above human dignity and the sanctity of human life. Every single person who is pro-life, including the Congressman, should reject this perverse ordering of values. Pope Francis directly challenged this mentality, saying, “Health is not a consumer good but a universal right, so access to health services cannot be a privilege.”
Against this libertarian mentality that is driven by extreme individualism, unlimited choice, and maximized autonomy, a Christian approach recognizes that we all (including men!) have a responsibility to support pregnant women and unborn children (among others). Recognizing this is integral to building a culture of life. This type of commitment to community and mutual responsibility is essential for achieving the common good.
Until Republicans’ leading policy wonk figures out how insurance works, those Republicans trying to replace the Affordable Care Act develop a minimal understanding of how obtaining health insurance works in reality, and the Republican party starts to show a little more respect for life rather than unfettered choice, the party’s effort to cut taxes for the wealthy by wrecking the Affordable Care Act should be strongly opposed by all.